Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 13341 | VA |
N | 213ES0000X | Sports Medicine | 13341 | VA |
N | 2081S0010X | Sports Medicine | 293376 | NY |
N | 213ES0000X | Sports Medicine | 293376 | NY |
Y | 2081S0010X | Sports Medicine | OS17229 | FL |
Y | 213ES0000X | Sports Medicine | OS17229 | FL |
NPI | 1013336221 |
---|---|
Provider Name | Steven Michael Papuchis |
First Address | Orlando, FL 32886-3407 |
Second Address | Sarasota, FL 34239-3509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 14/01/2021 |